二维超声心动图与64排心脏计算机断层扫描诊断出的升主动脉直径增加的患病率。

Prevalence of an increased ascending thoracic aorta diameter diagnosed by two-dimensional echocardiography versus 64-multislice cardiac computed tomography.

作者信息

Kaplan Sarah, Aronow Wilbert S, Ahn Chul, Lai Hoang, DeLuca Albert J, Weiss Melvin B, Dilmanian Hajir, Spielvogel David, Lansman Steven L, Belkin Robert N

机构信息

Department of Medicine, Cardiology Division, New York Medical College, Valhalla, New York, USA.

出版信息

Am J Cardiol. 2008 Jan 1;101(1):119-21. doi: 10.1016/j.amjcard.2007.07.081. Epub 2007 Nov 26.

DOI:10.1016/j.amjcard.2007.07.081

PMID:18157977

Abstract

The prevalence of an enlarged ascending thoracic aortic diameter (AAD) diagnosed by 2-dimensional echocardiography compared with 64-slice cardiac computed tomography (MSCT) was investigated in 97 women and 117 men (mean age 65 +/- 12 years). Enlarged AADs were diagnosed in 42 of 214 patients (20%) by echocardiography and in 45 of 214 patients (21%) by MSCT (p = NS). The sensitivity, specificity, positive predictive value, and negative predictive value of echocardiography in diagnosing an enlarged AAD using MSCT were 69%, 93%, 74%, and 92%, respectively. A Bland-Altman plot showed that the agreement for AAD measured by echocardiography and MSCT was 95% inside the 2-SD limits. In conclusion, the sensitivity, specificity, positive predictive value, and negative predictive value of 2-dimensional echocardiography in diagnosing enlarged AAD using MSCT were 69%, 93%, 74%, and 92%, respectively.

摘要

在97名女性和117名男性（平均年龄65±12岁）中，研究了二维超声心动图与64层心脏计算机断层扫描（MSCT）诊断升主动脉直径（AAD）增大的患病率。214例患者中，超声心动图诊断出42例（20%）AAD增大，MSCT诊断出45例（21%）（p=无显著差异）。超声心动图在使用MSCT诊断AAD增大时的敏感性、特异性、阳性预测值和阴性预测值分别为69%、93%、74%和92%。Bland-Altman图显示，超声心动图和MSCT测量的AAD在2-SD范围内的一致性为95%。总之，二维超声心动图在使用MSCT诊断AAD增大时的敏感性、特异性、阳性预测值和阴性预测值分别为69%、93%、74%和92%。